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02 March 2017, Volume 33 Issue 3 Previous Issue    Next Issue

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Prepregnancy consultation and evaluation of preexisting diabetic patients and the application of hypoglycemic agents. XU Xian-ming，WANG Hong-kun 2017, 33(3): 245-249.  DOI: 10.19538/j.fk2017030102 Abstract ( )   Among all of gestational diabetes 5%-10% was preexisting diabetes.The consultation during prepregnancy and antenatal care in women with preexisting diabetes include the investigation of blood glucose levels，chronic complications，to determine the right time for pregnancy.The existing data shows that relatively safe oral hypoglycemic agents are glyburide and metformin in pregnancy.It is still recommended to use insulin to control blood glucose in pregnancy.

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Evaluation and management of intracranial lesions during pregnancy. LIANG Zhu-wei，LIN Li 2017, 33(3): 249-253.  DOI: 10.19538/j.fk2017030103 Abstract ( )   The incidence of intracranial lesions in women of childbearing age is relatively low，but these lesions（including stroke，hypertensive encephalopathy and epilepsy）are an important cause of maternal death or dysfunction. The clinicians lack knowledge about it because of low incidence and non-specific symptoms at early stage， which can affect the early diagnosis and treatment of the disease. This article describes its pre-pregnancy assessment and management during pregnancy.

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Risk assessment and treatment of hypertensive patients before and during pregnancy. ZHANG Fang，MA Yu-yan 2017, 33(3): 253-256.  DOI: 10.19538/j.fk2017030104 Abstract ( )   Women with hypertension during pregnancy are likely to develop severe preeclampsia and multiple organ damage，leading to serious complications of mother and child. Patients with hypertension should be comprehensively assessed for risk before pregnancy.Blood pressure should be controlled with in the normal range before pregnancy and the appropriate pregnancy time should be selected.The monitoring during pregnancy should be strengthened and aspirin should be used to prevent preeclampsia. The timing and manner of termination of pregnancy should be decided according to the severity of illness and the situation of mother and child.Blood pressure must be monitored during childbirth and postpartum follow-up must be strengthened.

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Prediction and prevention of cardiovescular adverse reactions in patients with heart diseases during pregnancy. CHEN Qian,YUAN Meng-xin 2017, 33(3): 256-259.  DOI: 10.19538/j.fk2017030105 Abstract ( )   Heart diseases in pregnancy are the important reasons to threaten the health of pregnant women and fetus. The only way to improve pregnancy outcome is early recognition and timely treatment. This paper reviewed  4 adverse cardiovascular events，including heart failure，pulmonary hypertension，peripartum cardiomyopathy and severe arrhythmia，in order to predict and prevent the occurrence of adverse events based on clinical features，examinations and appropriate treatment.

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Pre-pregnancy assessment and management of pregnancy complicated with hematology system diseases. LIANG Mei-ying，XU Xue 2017, 33(3): 259-263.  DOI: 10.19538/j.fk2017030106 Abstract ( )   Pregnancy complicated with hematological disorders can lead to adverse maternal and neonatal outcomes.The illness condition should be evaluated comprehensively before pregnancy and the indication of conception should be carefully estimated.The primary disease should be closely monitored during pregnancy and the indications of therapeutic intervention to maintain the safety level of three series of peripheral blood cell is essential to get a good prognosis.Besides，delivery should be well planned，especially the blood supply.The time and method of pregnancy termination are according to the severity of the disease and obstetric conditions.Postpartum hemorrhage and infection should be prevented after delivery.

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Monitoring and management of gestational thyroid disease. ZHOU Wei，HUANG Ting 2017, 33(3): 263-267.  DOI: 10.19538/j.fk2017030107 Abstract ( )   Gestational thyroid disease is one of the most popular research topics in endocrinology and perinatology.It includes hypothyroidism，hyperthyroidism，postpartum thyroiditis，gestational thyroid nodule，thyroid cancer，etc.Gestational thyroid disease could lead to adverse outcomes，such as abortion，preterm birth，placental abruption，fetal malformation，fetal growth restriction，impaired neuropsychologic development and so on.Pregnancy-related immunology and endocrine might affect thyriod function and autoimmune condition.It could significantly improve both maternal and neonatal prognosis to diagnose and treat the cases timely and to follow up closely throughout the pregnancy.This article summarized the progress on monitoring and management of gestational thyroid disease in order to guide clinical practice.

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Monitoring and prevention of maternal and infant adverse outcomes in pregnancy women with rheumatic diseases. SHI Jun，ZHAO Ai-min 2017, 33(3): 267-272.  DOI: 10.19538/j.fk2017030108 Abstract ( )   Rheumatic immune disease tends to occur in women of reproductive age，and it is usually regarded as the most common high-risk pregnancy. Most of the rheumatic diseases will present some adverse changes in pregnancy，which even endanger the health of mothers and infants. Sufficiently realize the interaction of pregnancy and rheumatic diseases，and it is an important task to sufficiently realize the interaction between pregnancy and rheumatic immune diseases，actively establish the multidisciplinary management team to carry out effective monitoring means to prevent the occurrence of maternal and infant poor outcomes.

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Aortic aneurysm in pregnancy：early diagnosis and management. YU Ling，DING Yi-ling 2017, 33(3): 272-276.  DOI: 10.19538/j.fk2017030109 Abstract ( )   Aortic aneurysm occurring during pregnancy represents a lethal risk to both the mother and fetus.It is very important to diagnose and manage the disease in the early stage.Patients with the aortic aneurysm and the aortic dissection in the pregnancy are often with the history of cardiovascular disease.Pregnancy is also  an independent risk factor of aortic aneurysm.The typical clinical symptoms are pain and the changes of the patient's blood pressure.The ultrasonic cardiogram is the first choice of imageological examination for pregnant patients who have the typical symptoms.The specific managements should depend on different patient's conditions.

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Gestational proteinuria is not only in preeclampsia. ZHANG Yun-zhuo，QIAO Chong 2017, 33(3): 276-278.  DOI: 10.19538/j.fk2017030110 Abstract ( )   As one indicator to predict renal damage，proteinuria can occur in preeclampsia，nephritic syndrome of pregnancy，pregnancy associated with systemic lupus erythematosus and so on.During the process of pregnancy，the load of kidney increases.The pregnant women without history of kidney disease，occult renal dysfunction or the original kidney disease can have acute renal injury，which seriously impacts maternal and infant outcomes， so it needs early and timely diagnosis and treatment.